| NPI | 1528529096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: WI MD61287841) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD61287841) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: WA MD61287841) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2024-09-13 |